Complete Mental Health Guide 2 Latest Version(Updated) with Verified solutions

You are working with a new graduate nurse who tells you "I don't understand mental illness" you explain to them that mental illness is a) Mental conditions that affect mood, thinking, behavior, and the ability for a person to function b) a group of psychiatric disorders c) a series of complicated conditions d) the same as being crazy - ANSWER A) sMental condition that affect mood, thinking, behavior, and the ability for a person to function Betty Neuman - ANSWER Impact of internal and external stressors on the equilibrium of the system. Assist patients in discovering and using stress reducing techniques. Joyce Travelbee - ANSWER Meaning in the nurse-patient relationship and the importance of communication. The role of nursing in affirming the suffering of the patient and in being able to alleviate that suffering through communication skills. What is classical psychoanalysis - ANSWER No longer thought to be valid, and such therapy requires an unrealistically lengthy period of treatment 3-5 times a week for 6 years..... 2 Transference and countertransference are concepts from this approach. Psychodynamic psychotherapy - ANSWER Uses dream analysis, free association, transference and countertransference in following the psychoanalysis model. However, therapist has greater involvement and interacts more freely. Focus on the here and now. GABA has possible implication primarily in which disorder? a) bipolar b) alzheimer's c) anxiety d) depression - ANSWER c) anxiety Norepinephrine has possible implications primarily in which disorder? a) schizophrenia b) mood disorders c) anxiety d) personality disorders - ANSWER b) mood disorders Hildegard Peplau is known as: a) mother of psychiatric nursing b) the first nursing theorist c) a curanderismo d) leader of deinstitutionalization - ANSWER a) mother of psychiatric nursing 3 The nurse understands a client has the following rights regarding psychiatric mental health care: a) right to self-medicate b) right to ongoing participation, beyond that of a person's capabilities c) right to remain silent and aggressive d) right to individualized, written treatment or service plan - ANSWER d) right to individualized written treatment or service plan A nurse is caring for a female client from Puerto Rico. The nurse is aware of which of the following cultural considerations for a Hispanic client: a) personal matters are never shared with family b) they do not identify that mental illness is an issue c) depression is higher for Puerto Ricans living on the US mainland than those living in Puerto Rico d) mothers are considered head of the household and primary decision makers - ANSWER b) they do not identify that mental illness is an issue A nurse is caring for a client with depression they have been admitted for self harming behaviors (cutting) the most appropriate nursing diagnosis for a client with self harming behaviors is: a) ineffective communication b) ineffective coping c) risk for infection 4 d) disturbed sleep patterns - ANSWER b) ineffective coping What is the primary purpose of the five-axis system used in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR)? a) to improve prognostic ability b) the give a comprehensive picture of client functioning c) to provide a decision-making algorithm for pharmacologic treatment d) to separate the various mental disorders into five related categories - ANSWER b) to give a comprehensive picture of client functioning A nurse is participating in the care of a client whose treatment involves application of the principles of psychopharmacotherapy. As a result, the client's treatment will prioritize which of the following? a) altering the process of gene expression within neurons b) control of the environmental factors that are known to underlie mental illness c) altering the molecular structure of the neuronal nucleus d) blocking or enhancing the effects of specific neurotransmitters - ANSWER d) blocking or enhancing the effects of specific neurotransmitters While conducting an interview with a 14-year-old mental health client, he tells you that he has a plan to kill students at his school because they will not stop picking on him. He says, I have everything I need all set up. What would be your responsibility after hearing this statement? 5 a) to maintain the client's confidentiality and not share the information with anyone b) to break the client's confidentiality because the nurse has a duty to warn c) to maintain the client's confidentiality, but try to convince him that it is the wrong thing to do d) to not break the client's confidentiality because doing so is a HIPPA violation - ANSWER b) to break the client's confidentiality because the nurse has a duty to warn A nurse has been focusing on one particular client at work. She believes she sees a special side of the client no one else on the treatment team can see and is a strong advocate for the client. As a result, the nurse is in serious conflict with all the other members of the care team and refuses to consider their input. This demonstrates that the nurse may have: a) a failure to maintain appropriate boundaries b) appropriate dedication to her job c) exceptional caring and concern for the client d) a professional relationship with the client - ANSWER a) a failure to maintain appropriate boundaries The mental health nurse demonstrates a commitment to the health, safety, and welfare of people by providing evidence-based practice. What does the term evidence-based practice mean? a) care that integrates research and clinical expertise with the client's characteristics, culture, and pererences b) care based on outcomes conducted by the local practitioner 6 c) care base on prior outcomes from the veteran nurse d) care that bases decision making on only established clinical protocols - ANSWER a) care that integrates research and clinical expertise with the client's characteristics, culture, and preferences A nurse is caring for a patient hospitalized for substance use. Upon entering the room the client and another person are sharing stories of using substances, the consequences of their use, and the patient is listening to the person's story of recovery. The nurse identifies this person as which of the following members of an interdisciplinary team: a) a psychiatrist b) a psychologist c) a therapist d) a peer-support specialist - ANSWER d) a peer-support specialist The family of a young adult with schizophrenia has paid for a treatment that is known to lack empirical or theoretical support and is not evidence based. This family is using which of the following? a) pseudoscience b) myths c) junk science d) quackery - ANSWER a) pseudoscience During a client's case conference, a nurse has made reference to the Code of Ethics for Nurses of the American Nurses Association (ANA). What is the main characteristic of the ANA Code of Ethics for Nurses? 7 a) it provides descriptions of case studies in which ethical dilemmas were resolved b) it provides definitions of ethical principles and how they relate to nursing practice c) it provides standards of conduct for nurses regarding ethical care d) it outlines a decision-making framework for resolving ethical dilemmas - ANSWER c) it provides standards of conducts for nurses regarding ethical care Clients who present themselves at psychiatric facilities and request hospitalization are considered _______ admissions a) involuntary b) state committed c) voluntary d) emergent - ANSWER c) voluntary The nurse understand that _________ is faithfulness to duties, obligations, and promises a) reliability b) nonmaleficence c) beneficence d) fidelity - ANSWER d) fideltiy The nurse understands _____________ are principles that serve as codes of conduct about right and wrong behaviors to guide actions 8 a) cultures b) values c) ethics d) moods - ANSWER b) values The nurse understands _____________ is the right to make decisions for oneself a) autonomy b) anatomy c) anxiety d) reliability - ANSWER a) autonomy The nurse understands touching another person without consent is known as _______ a) encouraged b) battery c) assault d) manipulation - ANSWER b) battery A nurse is educating a client recently diagnosed with a Bipolar Disorder. The client asks why they now have the disorder. The etiology of a Bipolar Disorder is best described as: a) a neurochemical imbalance in the grey matter b) a hereditary condition in the brain 9 c) a genetic mutation of the prefrontal cortex and hypothalamus d) a combination or interaction of genes, neurology, environment and life history - ANSWER d) a combination or interaction of genes, neurology, environment and life history One nurse mentions to another nurse, "We see so many people with schizophrenia on the unit, it must be the most prevalent mental disorder." The reply that provides accurate information would be, "The most prevalent psychopathological condition in the United States is: a) mood disorder b) schizophrenia c) alcohol abuse disorder d) anxiety disorder - ANSWER d) anxiety disorder A layperson at an informational meeting about mental illness asks a nurse, "How would you describe schizophrenia in just a few words to someone without a medical background?" The most accurate response would be that "Schizophrenia is best described as: a) a fluctuating personality b) a disconnected mind c) a split personality d) multiple personalities - ANSWER b) a disconnected mind 10 A patient displays disorganized thoughts, mumbled, incoherent speech. The patient often appears to be listening and responding to unseen stimuli. The nursing diagnosis that should be given priority is: a) impaired social interaction b) social isolation c) ineffective coping d) impaired verbal communication - ANSWER d) impaired verbal communication Interpersonal psychotherapy. - ANSWER Effective short-term therapy. Goal is to reduce or eliminate psychiatric symptoms by improving interpersonal functioning and satisfaction in social relationships. Cognitive-behavioral therapy - ANSWER An evidence-based therapeutic modality for children, adolescents, and adults that seeks to identify negative and irrational patterns of thought and challenge them based on rational evidence and thoughts. Modeling - ANSWER Therapist provides a role model for specific identifies behaviors, and the pt learns through imitation of the therapist or of a video. Systematic desensitization - ANSWER Another form of behavior modification therapy that involves the development of behavior tasks customized to the pt's specific fears 11 Aversion therapy - ANSWER Used widely to treat behaviors. Present a negative stimuli along with the addicted stimuli to reduce urge. Put a vomiting agent into an alcoholics drink so they think vomit with alcohol. Automatic thoughts - ANSWER Rapid unthinking responses based on schemas. Particularly frequent and intense in depression and anxiety. Cognitive distortions - ANSWER Irrational thoughts that lead to false assumptions and misinterpretations. "Unless I get straight A's I'm a failure" Behavior therapy - ANSWER A treatment method that is concerned with patterns of behavior rather than inner motivations. Maladaptive responses are replaced with adaptive responses. Biofeedback - ANSWER A technique for gaining conscious control over unconscious body functions, such as BP and HR. Feedback obtained by sensitive instruments can provide information on body function, and individuals can learn to monitor and control responses (anxiety/stress) Conditioning - ANSWER Involves pairing a behavior with a condition that reinforces or diminishes that behavior Defense mechanisms - ANSWER Usually unconscious intrapsychic processes used to ward off anxiety by preventing conscious awareness of 12 threatening feelings. Can be used in a healthy or a not-so-healthy manner. extinction - ANSWER When reinforcement no longer results in a given behavior or response; in classical conditioning or when the stimulus no longer produces a response. Negative reinforcement - ANSWER Increasing the probability of a behavior by removing unpleasant consequences. A mouse that learns to press a lever to stop a shock has undergone negative reinforcement. positive reinforcement - ANSWER Presentation of a reward directly after a behavior to increase likelihood of that behavior happening aging. Transference - ANSWER The experiencing of thoughts and feelings toward a person (often the therapist) that were originally held toward a significant person in one's past. Used in psychoanalytical psychotherapy. Countertransference - ANSWER The tendency to displace, onto the patient, feelings that are a response to people in your past. Strong positive or strong negative reactions to a patient.